Individual
DR. BARRY GERALD BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-3362
(570) 808-5114
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC-004212-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01709125
—
PA
Enumeration date
06/30/2006
Last updated
08/21/2020
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